Claims Processing And Adjudication (Alibag)

Claims Processing And Adjudication (Alibag)

08 Sep
|
Tata Consultancy Services
|
Alibag

08 Sep

Tata Consultancy Services

Alibag

Job DescriptionKey Responsibilities

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- Claims Processing&

• Adjudication:

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- Efficiently process andadjudicate India-specific and global benefits claims, ensuring accuracy and compliance with policies.
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- Validate claims documentation, including gym reimbursement claims, vaccination claims, wellbeing benefits claims, school reimbursement claims, Salary advance claims etc. for global regions
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- Identify discrepancies in claims and ensure timely resolutions in line with company guidelines
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- Experience in similar claim processing is a must
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- Knowledge and working experience of Darwin and Workday is a plus
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- Knowledge of ticket management tools like SNOW is a Plus.
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- Stakeholder Engagement:
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- Collaborate with globalstakeholders to align claims processing practices with global standards.
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- Communicate effectivelywith internal teams, external vendors, and claimants to ensure smooth claim management.
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- SLA &

• KPI Management:

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- Demonstrate a robust understanding of Service Level Agreements (SLAs) and Key Performance Indicators (KPIs).
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- Consistently meet or exceed SLA requirements for claims processing while maintaining high-quality standards.
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- Policy Adherence &

• Process Improvement:

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- Ensure adherence to company policies, local regulations, and international best practices in claims management.
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- Proactively identify and recommend process improvements to enhance efficiency and accuracy.
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nQualification &

• Skillset:





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- Graduate and specialization in Human resources
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- 5–6 years of experiencein India / Global claims processing and adjudication.
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- Strong understanding ofvarious types of claims, advances, reimbursements and perks eligible for claims
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- Expertise in verifying and validating claim-related documents.
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- Exceptional command of English, with the ability to communicate fluently and professionally.
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- Attention to detail
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- Proven experience collaborating with global stakeholders across regions.
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- Deep understanding of SLAs and KPIs and a track record of achieving or exceeding them.
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nKey Skills:

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- Proficiency in Italian Language (written and verbal)
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- Claims Processing experience including gym reimbursement claims, vaccination claims, wellbeing benefits claims, school reimbursement claims, Salary advance claims etc. for global regions
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- Knowledge of Darwin andWorkday tool – is an advantage
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- Documentation Validation
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- Global Stakeholder Management
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- Process Improvement andCompliance
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- SLA & KPI Adherence
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- Excellent Communicationand Analytical Skills
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nWorking Conditions:

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- Work Shift will be dependent on geography/region coverage requirements across a 24-hour * 7 service delivery
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- Work from Office (No work from home)
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- Agile to extended work hours when needed to meet deadlines without prompting.
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📌 Claims Processing And Adjudication (Alibag)
🏢 Tata Consultancy Services
📍 Alibag

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